Discovery Nursing & Rehab Of Vancouver - Vancouver Nursing Home

General Information

UPDATE
Federal Provider Number
505341
Provider Name
DISCOVERY NURSING & REHAB OF VANCOUVER
Provider Address
5220 NORTHEAST HAZEL DELL AVENUE
VANCOUVER, WA 98663
Provider Phone Number
3606931474
Provider SSA County
50
Provider County Name
Clark
Ownership Type
For profit - Corporation
Number of Certified Beds
89
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARE CENTER HAZEL DELL INC
Date First Approved to Provide Medicare and Medicaid services
1989-06-02
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.16076
Reported LPN Staffing Hours per Resident per Day
0.55063
Reported RN Staffing Hours per Resident per Day
0.80253
Reported Licensed Staffing Hours per Resident per Day
1.35316
Reported Total Nurse Staffing Hours per Resident per Day
3.51392
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07152
Expected CNA Staffing Hours per Resident per Day
2.53996
Expected LPN Staffing Hours per Resident per Day
0.65249
Expected RN Staffing Hours per Resident per Day
1.03378
Expected Total Nurse Staffing Hours per Resident per Day
4.22623
Adjusted CNA Staffing Hours per Resident per Day
2.08738
Adjusted LPN Staffing Hours per Resident per Day
0.70043
Adjusted RN Staffing Hours per Resident per Day
0.58006
Adjusted Total Nurse Staffing Hours per Resident per Day
3.35151
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2015-01-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-01-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-10-05
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
40.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
6
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

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